Health Technology Assessment in Action (May 2023)
Knowledge, Attitudes, and Practice of Infertile Couples About Assisted Reproductive Technology, 2020: A Cross-Sectional Study
Abstract
Introduction: The World Health Organization has referred to infertility as a worldwide reproductive health problem that threatens the mental health of infertile couples and can lead to disorders such as stress, depression, isolation, guilt etc. This study aimed to determine the Knowledge, attitudes and practice of infertile couples about assisted reproductive technology , 2019-2020. Material and Methods: This cross-sectional descriptive study was performed on 331 infertile person who referred to Alzahra Infertility Center in Shahrekord, Iran in 2019-2020. Sampling was done by Convenience Sampling. Data were collected by self-administered questionnaire consisting of four parts. The first part consisted of 17 demographic questions, the second part consisted of 20 questions, the third part consisted of 23 questions, and the fourth part consisted of 9 questions. The data were analyzed by SPSS software. P-value less than 0.05 was considered significant. Results: In this study, 331 infertile person who referred to infertility clinic of AL-Zahra were studied. The mean awareness of infertile couples was 14.26 (moderate knowledge level) and their mean attitude was 57.01 (negative attitude). Comparison of knowledge of study participants with Gender, Address, ethnicity, Language, Education, The duration of infertility, Causes of Infertility, feminine factor, Age and, Years of marriage was significant (p<0.05), Comparison of attitudes of study participants with Gender, Address, Education, Job, The duration of infertility and Causes of Infertility was significant (p<0.05), Relationship between knowledge of study participants with The duration of infertility, Cause of infertility, knowledge of( IUI, IVF, ICSI, ZIFT, Replaced uterus, Donated ovum, Sperm donation and The donating embryo) and attitude of (IUI IVF Replaced uterus Donated ovum) was significant (p<0.05) and Relationship between attitude of study participants with The duration of infertility, knowledge of( IUI, Replaced uterus and Donated ovum) and attitude of (IUI IVF Replaced uterus Donated ovum) was significant (p<0.05). Conclusion: The results of this study indicated that the higher the level of awareness, the more negative the attitude toward assisted reproductive Technology. In addition, in people who use more pharmacological methods to treat infertility, the rate of using the new assisted reproductive method is less than the pharmacological methods. Therefore, it is recommended that health system policymakers and guardians improve childbearing status in the country by establishing counseling classes and correcting people's awareness of new methods of assisted reproduction, in order to correct people's misconceptions about using these methods.
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